Estimating the health impact of delayed elective care during the COVID-19 pandemic in the Netherlands

Autor: Marije Oosterhoff, Lisanne H.J.A. Kouwenberg, Adriënne H. Rotteveel, Ella D. van Vliet, Niek Stadhouders, G. Ardine de Wit, Anoukh van Giessen
Přispěvatelé: Health Economics and Health Technology Assessment, APH - Health Behaviors & Chronic Diseases, APH - Methodology, Graduate School, Public and occupational health, APH - Digital Health, APH - Quality of Care
Rok vydání: 2023
Předmět:
Zdroj: Social Science & Medicine, 320
Social Science & Medicine, 320:115658. Elsevier Limited
Oosterhoff, M, Kouwenberg, L, Rotteveel, A, Vliet, E V, Stadhouders, N, Wit, A D & Giessen, A V 2023, ' Estimating the health impact of delayed elective care during the COVID-19 pandemic in the Netherlands ', Social Science & Medicine, vol. 320, 115658, pp. 115658 . https://doi.org/10.1016/j.socscimed.2023.115658
Social science & medicine (1982), 320:115658. Elsevier Limited
ISSN: 0277-9536
DOI: 10.1016/j.socscimed.2023.115658
Popis: Background: The COVID-19 pandemic had a major impact on the continuity of healthcare provision. Appointments, treatments and surgeries for non-COVID patients were often delayed, with associated health losses for patients involved. Objective: To develop a method to quantify the health impact of delayed elective care for non-COVID patients. Methods: A model was developed that estimated the backlog of surgical procedures in 2020 and 2021 using hospital registry data. Quality-adjusted life years (QALYs) were obtained from the literature to estimate the non-generated QALYs related to the backlog. In sensitivity analyses QALY values were varied by type of patient prioritization. Scenario analyses for future increased surgical capacity were performed. Results: In 2020 and 2021 an estimated total of 305,374 elective surgeries were delayed. These delays corresponded with 319,483 non-generated QALYs. In sensitivity analyses where QALYs varied by type of patient prioritization, non-generated QALYs amounted to 150,973 and 488,195 QALYs respectively. In scenario analyses for future increased surgical capacity in 2022–2026, the non-generated QALYs decreased to 311,220 (2% future capacity increase per year) and 300,710 (5% future capacity increase per year). Large differences exist in the extent to which different treatments contributed to the total health losses. Conclusions: The method sheds light on the indirect harm related to the COVID-19 pandemic. The results can be used for policy evaluations of COVID-19 responses, in preparations for future waves or other pandemics and in prioritizing the allocation of resources for capacity increases.
Databáze: OpenAIRE
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